Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.99 / $170.99 / $170.99	Facility		$170.99	$170.99	$170.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $170.99 / $302.50	Professional		$155.41	$170.99	$302.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $127.97 / $362.74	Professional		$62.00	$127.97	$362.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $212.25	Facility		$192.25	$192.25	$212.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $192.25 / $192.25	Professional		$140.34	$192.25	$192.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $259.63 / $558.99	Facility		$104.04	$259.63	$558.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $259.63 / $259.63 / $259.63	Professional		$259.63	$259.63	$259.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.44 / $233.44 / $233.44	Professional		$233.44	$233.44	$233.44
United Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $164.67 / $231.21	Professional		$114.90	$164.67	$231.21